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Factors Associated with the Establishment of New Occupational Therapist Positions in Norwegian Municipalities after the Coordination Reform

Community-based occupational therapy is an increasingly important domain of work for occupational therapists. In Norway, this has been emphasized by the Coordination reform (2012), which assigned municipalities increased responsibility to protect and promote the health of their inhabitants. However,...

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Autores principales: Maass, Ruca, Bonsaksen, Tore, Gramstad, Astrid, Sveen, Unni, Stigen, Linda, Arntzen, Cathrine, Horghagen, Sissel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7970166/
https://www.ncbi.nlm.nih.gov/pubmed/33795934
http://dx.doi.org/10.1177/1178632921994908
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author Maass, Ruca
Bonsaksen, Tore
Gramstad, Astrid
Sveen, Unni
Stigen, Linda
Arntzen, Cathrine
Horghagen, Sissel
author_facet Maass, Ruca
Bonsaksen, Tore
Gramstad, Astrid
Sveen, Unni
Stigen, Linda
Arntzen, Cathrine
Horghagen, Sissel
author_sort Maass, Ruca
collection PubMed
description Community-based occupational therapy is an increasingly important domain of work for occupational therapists. In Norway, this has been emphasized by the Coordination reform (2012), which assigned municipalities increased responsibility to protect and promote the health of their inhabitants. However, even if approximately 400 positions have been established between 2012 and 2017, little is known whether they have contributed to increased and/or more equal coverage across municipalities. To explore this matter, survey data was gathered among members of the Norwegian Occupational Therapy Association during 2017. Data was analyzed statistically (descriptive, comparative and associative) with SPSS 25. Results suggest large regional variations in the establishment of new positions. Moreover, most new positions were established in medium-sized municipalities that already had (an) occupational therapist(s) in the community. Number of prior positions, as well as being in the process of merging with another municipality were the only significant predictors for the establishment of new positions during regression analysis. Findings suggest that no levelling-out of geographical distributions of OT-coverage has occurred, even if new positions might have contributed to level-out workload (number-of-patients-per-therapist). Further, we discuss implications of our findings for policy-making and recruitment of Occupational Therapists for rural positions.
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spelling pubmed-79701662021-03-31 Factors Associated with the Establishment of New Occupational Therapist Positions in Norwegian Municipalities after the Coordination Reform Maass, Ruca Bonsaksen, Tore Gramstad, Astrid Sveen, Unni Stigen, Linda Arntzen, Cathrine Horghagen, Sissel Health Serv Insights Original Research Community-based occupational therapy is an increasingly important domain of work for occupational therapists. In Norway, this has been emphasized by the Coordination reform (2012), which assigned municipalities increased responsibility to protect and promote the health of their inhabitants. However, even if approximately 400 positions have been established between 2012 and 2017, little is known whether they have contributed to increased and/or more equal coverage across municipalities. To explore this matter, survey data was gathered among members of the Norwegian Occupational Therapy Association during 2017. Data was analyzed statistically (descriptive, comparative and associative) with SPSS 25. Results suggest large regional variations in the establishment of new positions. Moreover, most new positions were established in medium-sized municipalities that already had (an) occupational therapist(s) in the community. Number of prior positions, as well as being in the process of merging with another municipality were the only significant predictors for the establishment of new positions during regression analysis. Findings suggest that no levelling-out of geographical distributions of OT-coverage has occurred, even if new positions might have contributed to level-out workload (number-of-patients-per-therapist). Further, we discuss implications of our findings for policy-making and recruitment of Occupational Therapists for rural positions. SAGE Publications 2021-03-16 /pmc/articles/PMC7970166/ /pubmed/33795934 http://dx.doi.org/10.1177/1178632921994908 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Maass, Ruca
Bonsaksen, Tore
Gramstad, Astrid
Sveen, Unni
Stigen, Linda
Arntzen, Cathrine
Horghagen, Sissel
Factors Associated with the Establishment of New Occupational Therapist Positions in Norwegian Municipalities after the Coordination Reform
title Factors Associated with the Establishment of New Occupational Therapist Positions in Norwegian Municipalities after the Coordination Reform
title_full Factors Associated with the Establishment of New Occupational Therapist Positions in Norwegian Municipalities after the Coordination Reform
title_fullStr Factors Associated with the Establishment of New Occupational Therapist Positions in Norwegian Municipalities after the Coordination Reform
title_full_unstemmed Factors Associated with the Establishment of New Occupational Therapist Positions in Norwegian Municipalities after the Coordination Reform
title_short Factors Associated with the Establishment of New Occupational Therapist Positions in Norwegian Municipalities after the Coordination Reform
title_sort factors associated with the establishment of new occupational therapist positions in norwegian municipalities after the coordination reform
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7970166/
https://www.ncbi.nlm.nih.gov/pubmed/33795934
http://dx.doi.org/10.1177/1178632921994908
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